Should I worry about high ALP after stopping Udimarin Forte?

Question

Hello doctor,

My 54-year-old father had been operated for gallbladder 14 years ago. Since then, his liver enzymes like SGPT and SGOT remain at 55 and recently his ALP was seen 140 and GGT at 79 which became normal after taking Udimarin Forte tablet. After stopping the medicine, the ALP again increased to 278. He takes Thyronorm 75 mcg for hypothyroidism and Cilacar 10 mg, a BP medicine.

For triglycerides, he takes Rosumac F which got changed to E-Cod Plus. He also has a deficiency of vitamin D and takes Uprise-D3 once a week for that. He does not have any symptoms now but before sometimes he complained bitter taste in the mouth in the morning which went away after taking Liv.52 DS which he currently takes. He is a nondrinker and a nonsmoker. Is there anything to worry? Please help.

Answer 1

Hello,

Welcome to icliniq.com.

There is nothing to worry.

Possibly, he has mild fatty liver because of which SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamate-pyruvate transaminase) are mildly elevated.

However, the ALP (alkaline phosphatase) is elevated in either obstruction of the bile duct or due to bone disease like vitamin D deficiency which he has.

I would still suggest an ultrasonogram of the abdomen to look for fatty liver and CBD (common bile duct) anatomy.

For more information consult an internal medicine physician online

Answer 2

Hello,

Welcome back to icliniq.com.

His liver enzymes SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamate-pyruvate transaminase) are mildly elevated.

His ALP (alkaline phosphatase) is also elevated.

Hence, ultrasound of the abdomen is needed.

For more information consult an internal medicine physician online